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My skin is photodamaged and wrinkled. Why?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

Can I use Adapalene, Clindamycin and Acedapsone in combination for acne vulgaris? Currently I am on the latter two and Isotretinoin capsules and also taking an antibiotic known as Azithromycin. My skin is also photodamaged and wrinkled. Kindly guide.

Answered by Dr. Rashmi Singh

Education:

MBBS

Professional Bio:

Dr. Rashmi Singh is a Dermatologist, HIV/AIDS Specialist, Venereologist, and Cosmetologist with 12 years of clinical experience. She completed her MBBS from Pt. Ravishankar Shukla University in 2011 and DDVL from The Tamil Nadu Dr. M.G.R. Medical University in 2015. She consults patients with skin ailments, prescribes medication, undertakes skin therapy treatment, or performs non-intrusive surgery. She is currently practicing in Bengaluru.

This doctor is not available for online consultations on the platform anymore.

Hi,

I am glad you chose icliniq for your medical-related queries.

I understand your concern and will try to help you with it.

Yes, you can use all of that. Isotretinoin, Adapalene and Benzoyl peroxide (BPO) can irritate your skin a lot. My advise is to continue it only till your acne comes down a bit, but then continue only with Clindamycin. For photodamaged skin, both Isotretinoin and topical retinoids can help. Tretinoin works better than Adapalene though. Please do not self-medicate with Isotretinoin. Do it under a dermatologist's or physician's supervision only.

Thank you for consulting me.

You can always reach me at icliniq.com.

Patient's Query

Hello doctor,

Thank you for the reply.

I have already consulted with a doctor and he only prescribed me the above medications. I was using Adapalene and Involym for two months as my acne was not improving. He asked me to stop both medications. Though acne has significantly reduced, large pores and wrinkles are still there for which Adapalene as well as Tretinoin gel helped a lot. After a year it recurred again. Is it alright if I continue Adapalene or Isotretinoin along with the above medications? Please help.

Answered by Dr. Rashmi Singh

Education:

MBBS

Professional Bio:

Dr. Rashmi Singh is a Dermatologist, HIV/AIDS Specialist, Venereologist, and Cosmetologist with 12 years of clinical experience. She completed her MBBS from Pt. Ravishankar Shukla University in 2011 and DDVL from The Tamil Nadu Dr. M.G.R. Medical University in 2015. She consults patients with skin ailments, prescribes medication, undertakes skin therapy treatment, or performs non-intrusive surgery. She is currently practicing in Bengaluru.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome back to icliniq.com.

I read and understand your concern.

If it does not irritate your skin, you can use the combination. There is no contraindication.

Looking forward to your response in order to help you.

Thank you.

Medically reviewed by iCliniq medical review team
Published At February 27, 2016
Reviewed At October 8, 2024

Education:

MBBS

Professional Bio:

Dr. Rashmi Singh is a Dermatologist, HIV/AIDS Specialist, Venereologist, and Cosmetologist with 12 years of clinical experience. She completed her MBBS from Pt. Ravishankar Shukla University in 2011 and DDVL from The Tamil Nadu Dr. M.G.R. Medical University in 2015. She consults patients with skin ailments, prescribes medication, undertakes skin therapy treatment, or performs non-intrusive surgery. She is currently practicing in Bengaluru.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

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Companion

Photodamaged and Wrinkled Skin: Retinoid and Isotretinoin Treatment Companion

How it works

Learn more about acne, photodamaged skin, wrinkles, and the medications often used to treat them.

1

Understand
Acne

2

Topical
Retinoids

3

Medical
Supervision

4

Addressing
Photodamage

5

Combination
Therapy

6

Manage
Irritation

Important Notice

This tool provides educational information only and does not diagnose, treat, or replace professional medical advice. Consult a qualified healthcare professional for personalized medical guidance.

This information is based on general medical guidance. It is not a substitute for professional medical advice; consult a qualified clinician.

Always consult a doctor before taking medication; self-medication carries serious health risks. Take exact prescribed doses, and never start, change, or stop treatment without medical supervision.

Education:

MBBS

Professional Bio:

Dr. Rashmi Singh is a Dermatologist, HIV/AIDS Specialist, Venereologist, and Cosmetologist with 12 years of clinical experience. She completed her MBBS from Pt. Ravishankar Shukla University in 2011 and DDVL from The Tamil Nadu Dr. M.G.R. Medical University in 2015. She consults patients with skin ailments, prescribes medication, undertakes skin therapy treatment, or performs non-intrusive surgery. She is currently practicing in Bengaluru.

This doctor is not available for online consultations on the platform anymore.

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